Alfredo E Gonzalez, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME67354 Issued in FL

Practice address

201 N Lakemont Ave
Suite 800
Winter Park, FL 32792-3208

Phone

(407) 645-2737

Fax

(407) 645-1082

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Puerto Rico School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Group PAGroup PAC ID 4385676782, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology Group PA

  • Specialist
  • Mount Dora, FL
  • NPI 1356300081
  Medicare reassignment Care Compare group NPD
• Jewett Orthopaedic Clinic LLC

  • Orthopaedic Surgery Physician
  • Winter Park, FL
  • NPI 1821097437
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1659402840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N LAKEMONT AVE",
            "address_2": "SUITE 800",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923208",
            "telephone_number": "407-645-2737",
            "fax_number": "407-645-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N LAKEMONT AVE",
            "address_2": "SUITE 800",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923208",
            "telephone_number": "407-645-2737",
            "fax_number": "407-645-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALFREDO",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME67354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "593369175",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenly Katherine Gonzalez Pagan
• Ian Joeh Gonzalez Santiago, DPT
• Natalia Gonzalez-Castano
• Adriana Gonzalez-Garcia, MSCP, MBA
• Alessandra Maria Gonzalez
• Cristina Alejandra Gonzalez, PA-C
• Gabriela Alessandra Gonzalez
• Juan Sebastian Gonzalez
• Karen Gonzalez
• Marisol Gonzalez, APRN

• Dermatology Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.